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PASCO COUNTY, FLORIDA <br /> Permit No. ZO 7/ <br /> / I Date Permitted <br /> Builder Name/Owner Name ��1 �-+�'` Control# <br /> County Par,,cel No. IS 4-zl 0430_6630a 0/0 SubDiV: J <br /> Address/Location c3! 7 Z <br /> Classiflcation/Type of Use *4"e4 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: - —- <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. �,n57 Zone No. TAZ: <br /> I <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt �Yes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit :Recreation Total <br /> Zone TOTAL AMOUNT $ <br /> . I <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No Haw Determined Total Amou <br /> I <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> I <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence,but simply receipt of-a copy of this form,placing <br /> the building permit owner on notice of this assessment and tha conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> I <br />